First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

PERSONAL INFORMATION

What is the best time to contact you?*

What is your age? (You must be at least 18 years old to apply}*

Please name any second party in the adoption.

Please identify how many children live in the home with you as well as their ages.

Please provide the total number of adults living in your home.

Do you or anyone in your home have asthma or allergies to cats, cat litter or cleaning products?

If you specified a particular cat, where did you see the cat posted?*
Choose one: For the Love of Cats Rescue and Adoption website Already a LOCRA adopter Friend/Relative/Coworker PetFinder Adopt a Pet Facebook NextDoor Petsmart Other

DESIRED CAT

Please select the cat you are interested in adopting below. If you have not yet decided, just leave this blank.
Choose an animal: Alexander. Kitilton Ameelia Ammabelle Arnie Ashur Atreyu Baby Bug Baby Tigger Bennett Birdee Bitz Bobby Cameo Chauncey Cheyann Chica Constance Cortland Cory Darryl Delilah Doug Dynamite (MUST BE ADOPTED WITH MELLOW) (must be adopted with Mellow (MUST BE ADOPTED WITH DYNAMITE) and Mellow (MUST BE ADOPTED WITH DYNAMITE)) Edgar Edie Edith Electra Elisheva (Must be adopted with Esteban) Elliot (must be adopted with Persey) Elwira Enid Esteban (Must be adopted with Elisheva) Esther Fae Fearghus - (Front Paw Declawed) Forrest Frosty Fries Grace Hopper Gremlin Guapo Hans Jr Harper(MUST BE ADOPTED WITH MELODY) Hugo Ilona Ilya Ingrid Jingle Jinxie Joann Jordon Jujube Julia Kenzi Khalid Kira (MUST BE ADOPTED WITH SKARLETTA) Lavendor Lavern Leza (Must be adopted with Loann) Lileigh Loann (Must be adopted with Leza) Lucky Madden McIntosh Mellow (MUST BE ADOPTED WITH DYNAMITE) (must be adopted with Dynamite (MUST BE ADOPTED WITH MELLOW) and Dynamite (MUST BE ADOPTED WITH MELLOW)) Melody(MUST BE ADOPTED WITH HARPER) Memphis Mia G Micah Midnight Blue Miggy Miles Mischief (Missy) Missey Misty Misty Blue Ollee (must be adopted with Teedee) Pan-Pan Penelopie Persey (Must be adopted with Elliot) Peter Pan - (must be adopted w/Rocky) Pip Poe Pompom Princy boy Rambler Reever Reuben Robinette Rocky - (must be adopted w/Peter Pan) Romie Rosa Rose Salma Scarlett Shirley Shrimpy (Munchkin/dwarf cat) Skarletta Smokey Girl Spicey Stardust Sunflower Suschi Susie (must be adopted with Theodore) Sweet Girl Sylvia Teddee (must be adopted with Ollee) Teresa Terry Theodore (must be adopted with Susie) Thistle Tilt Tiramisu Tooney Vagabond Wayne White Claw Wilber Winnie Zeppole Zola

If you do not see your desired cat's name in the above question, but have seen them shown on our Facebook page, please enter any details you have that will help us identify the cat you want.

If your desired cat has already been adopted, please list a 2nd and 3rd choice. You can find all of our currently available cat/kittens on our website (locrami.com)

How many hours will your new cat be alone during the day?*

Please let us know what your ideal cat would be like in the space below: *

Do you prefer a male or female? *
Choose one: Male Female No preference

Please identify what hair length you prefer:*
Choose one: Long hair Medium hair Short hair No preference

Please identify any other animals your cat must get along with. Please select all that apply (to select multiple options, press the "Ctrl" key while selecting multiple items).
Choose all that apply: Cat(s) Dog(s) Other animal type Not applicable, no other animals

CURRENT PETS: Please list current pets ( cats/dogs only). Include the following information in the box below for EACH animal: NAME, SPECIES (Dog or Cat), AGE, STERILIZED, CURRENT ON VACCINATIONS? INSIDE or OUTSIDE animal? ( If you do not currently have a cat or dog, please enter "Not Applicable") . *

Please list any cats/dogs in the home NOT owned by the primary applicant.

Do you have a veterinarian for your current pet(s)? *
Choose one: Yes No

Please provide your vet's name and phone number. By submitting this form you authorize LOCRA to contact your vet(s) for your vet records.*

PAST PETS

Please list any that you've had in the past 3 years.  Include the following information in the boxes below for EACH animal.   If you have never had a cat or dog, please enter, "Not Applicable".  

Please list past pets (cats and dogs) NAME, SPECIES (Dog or Cat), AGE, WHAT HAPPENED to the animal?

Have you ever had to rehome an animal? If yes, why?*

ADDITIONAL INFORMATION

Do you own or rent your home (choose one)?*
Choose one: Own Rent

Does your Landlord or City have any restrictions on having cats, and if so, what are they?

Do you plan on declawing?*
Choose one: Front Paws Back Paws All Paws Not Declawing

What are your thoughts on cats being outdoors?*

What would you do if your cat accidentally went outside unattended? *

By typing your full name below, you are signing this agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.*

WHILE WE TRY OUR BEST, WE REGRET THAT WE ARE UNABLE TO RESPOND TO ALL APPLICATIONS.  ADOPTION SERVICES TEAM